TAMMY LYNN UNDIEMI (NPI# 1073178133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073178133 |
| Entity Type | Individual |
| Full Name | TAMMY LYNN UNDIEMI |
| Credential | FNP-BC |
| Practice Address |
27575 N 172nd Ln Surprise AZ 85387-1126 |
| Practice Telephone | 7853133297 |
| Mailing Telephone | 7853133297 |
| Enumeration Date | 2019-05-04 |
| Last Update Date | 2020-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
224031 | AZ | Ambulatory Health Care Facilities |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP140406 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27575 N 172ND LN |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85387-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587361 | Zayden Transportation Services LLC | Private Vehicle | 16399 West Cielo Grande Avenue, Surprise, AZ 85387 | 2018-05-09 |
| 1225553985 | Elmer Place for Parents | Assisted Living Facility | 25968 N.sandstone Way, Surprise, AZ 85387 | 2017-08-03 |
| 1538563143 | About Seniors Assisted Living Home, LLC | Assisted Living Facility | 17343 W Bajada Dr, Surprise, AZ 85387-1002 | 2014-10-11 |
| 1457520470 | Quality Life Arrangements | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17303 W Buckhorn Trl, Surprise, AZ 85387-1016 | 2008-02-24 |
| 1619204039 | Richard Todd Stoneking | Respite Care | 17386 W Buckhorn Trl, Surprise, AZ 85387-1019 | 2009-11-05 |
| 1881919009 | Courtney Burnett | Specialist/Technologist | 17667 W Red Bird Rd, Surprise, AZ 85387-1032 | 2010-03-31 |
| 1508291873 | Trace Jahner | Speech-Language Pathologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2013-09-05 |
| 1689283319 | Madison Riddick | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-28 |
| 1790303527 | Jena Rose Anaya | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-08 |
| 1366074064 | Victoria Rivera | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-02-10 |
| Find all providers in zip 85387 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730657230 | Brice Wiltgen D.c., Pllc | Clinic/Center | 15288 W Brookside Ln Ste 139, Surprise, AZ 85374-3990 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865589 | Best Life Medical | Clinic/Center | 1011 W Elliot Rd, Gilbert, AZ 85233-5171 | 2020-09-15 |
| 1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1114561107 | Vista Mobile Health, LLC | Clinic/Center | 10752 N 89th Pl # 104a-1, Scottsdale, AZ 85260-6730 | 2019-11-01 |
| 1477104362 | Modern Recovery, LLC | Clinic/Center | 4820 S Mill Ave Ste 203, Tempe, AZ 85282-7734 | 2019-09-23 |
| 1063068898 | Ambest Family Health Clinics, Pllc | Clinic/Center | 4841 S Mesa Villas Dr Apt 3, Fort Mohave, AZ 86426-6436 | 2019-08-16 |
| 1871058891 | Dental and Braces Maryvale LLC | Clinic/Center | 6702 W Camelback Rd Ste 100, Glendale, AZ 85303-6324 | 2019-02-04 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.